Active NPI
Kirstin Genette Filizetti, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1780901835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25099
- Practice address
- 7710 Balboa Ave
Suite 228
San Diego, CA 92111-2261 - Phone
- (619) 940-7774
- Fax
- (619) 377-6701
- NPI assigned
- Apr 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY25099 | CA | Primary |
Addresses
Primary practice location
7710 Balboa Ave
Suite 228
San Diego, CA 92111-2261
Mailing address
7710 Balboa Ave
Suite 228
San Diego, CA 92111-2261
Phone (619) 940-7774
Other names 1
- Kirstin Genette Young
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25099 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Filizetti Psychological Services | Clinical | Current | Accepting new patients |
Locations
2535 Camino del Rio S
Ste 303
San Diego, CA 92108
Phone (619) 796-1358
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1780901835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 BALBOA AVE",
"address_2": "SUITE 228",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112261",
"telephone_number": "619-940-7774",
"fax_number": "619-377-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 BALBOA AVE",
"address_2": "SUITE 228",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112261",
"telephone_number": "619-940-7774",
"fax_number": "619-377-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILIZETTI",
"first_name": "KIRSTIN",
"middle_name": "GENETTE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-29",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTIN",
"last_name": "YOUNG",
"middle_name": "GENETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.